Individual provider Active NPI

Brent Matthew Hintz, MD

  • Obstetrics & Gynecology Physician
  • Waterloo, IA
National Provider Identifier
1558477745
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
23079 Issued in IA
Practice address
212 West Dale St.
Suite 402
Waterloo, IA 50703
Phone
(319) 235-3865
Fax
(319) 235-3873
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 23079 IA Primary

Addresses

Primary practice location

212 West Dale St.
Suite 402
Waterloo, IA 50703

Mailing address

212 W Dale St
Suite 402
Waterloo, IA 50703-1951
Phone (319) 290-9336

Other identifiers 1

IdentifierTypeStateIssuer
0046805MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23079IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Obstetrics & Gynecology CurrentSince Mar 6, 2016 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Allen Memorial Hospital Corporation Obstetrics & Gynecology Past Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

146 W Dale St
Ste 203
Waterloo, IA 50703
Phone (319) 235-3865

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

146 W Dale St
Ste 102
Waterloo, IA 50703
Phone (319) 235-5050

212 W Dale St
Ste 102
Waterloo, IA 50703
Phone (319) 226-2345

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1558477745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 W DALE ST",
            "address_2": "SUITE 402",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031951",
            "telephone_number": "319-290-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 WEST DALE ST.",
            "address_2": "SUITE 402",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50703",
            "telephone_number": "319-235-3865",
            "fax_number": "319-235-3873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTZ",
        "first_name": "BRENT",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "23079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0046805",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.